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SEPTIC SYSTEM INVENTORY <br />Site Address: 200 Stubbs Bay Rd N PID: 3211823420003 <br />Owner Name: Christopher J. & Gail M. Bollis <br />Owner Address: 200 Stubbs Bay Rd N Long Lake MN 55356 <br />Building Type: residence Installer: <br />Date of Permit: owner? <br />System Type: standard trench BRs Designed for: 2 <br />In Musa?: No Shoreland?: <br />SEPTIC COMPLIANCE INSPECTION <br />Compliant <br />Non -Compliant?: <br />Report Date: <br />Expires: <br />Report in Street File?: <br />SPECIAL NOTES Site Address: 200 Stubbs Bay Rd N <br />03/16/09 2009 Septic Maintenance Report Letter Sent <br />SEPTIC TANKS <br />Material: concrete block,bric Capacity: Tank Filter: <br />DRAINFIELD <br />Treatment Area: Soil Boring: yes DF Ht above Wt: 0 <br />WELL DATA <br />Setbacks - Well -Tanks: 15 Well -DF: 100 Report in File?: Depth: <br />Date <br />7/8/82 <br />9/17/86 <br />8/18/88 <br />8/23/90 <br />6/12/91 <br />7/29/93 <br />9/16/96 <br />9/17/99 <br />9/13/01 <br />9/29/03 <br />10/01/05 <br />4/3/2009 <br />3:52:12 PM <br />INSPECTION RECORD <br />Description <br />no surfacing <br />no surfacing <br />no surfacing <br />no surfacing -need risers,pump tanks <br />no surfacing -need risers,pump tanks <br />no surfacing -need risers <br />non -complaint -repair by 12/31/2006 <br />no surfacing -noncompliant (12/31/06) <br />non-compliant, replace by 12/31/2010 <br />non-compliant, replace by 12/31/2010 <br />Okay <br />PUMPOUT RECORD <br />Date Gallons <br />07/01/91 500 <br />05/24/94 500 <br />06/13/03 500 <br />